Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LOS ANGELES
› EVERGREEN RX INC
EVERGREEN RX INC
NPI: 1346241700 · LOS ANGELES, CA 90025 ·
333600000X
$701K
Total Medicaid Paid
521
Total Claims
484
Beneficiaries
5
Codes Billed
2020-04
First Month
2024-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
134
$278K
2021
267
$423K
2023
29
$0.00
2024
91
$33.97
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
J0135
Adalimumab injection
89
86
$457K
J1438
Etanercept injection
117
115
$208K
J0897
Denosumab injection
164
157
$36K
J1100
Dexamethasone sodium phos
76
63
$29.12
J2405
Ondansetron hcl injection
75
63
$27.95